Billing for Federally Qualified Health Centers (FQHC) – What You Should know

Event Information
Product Format
Prerecorded Event
LaTrece Freeman-Baker, CPC, CPCO, CPMA, CPC-I
60 minutes
Product Description

Learn How to Bill Your Services Properly and Get Fully Reimbursed For Your FQHC’s Services

Federally Qualified Health Centers (FQHCs) play a key role by improving access to preventive and primary care to patients, especially in underserved communities. But their billing process is unique and complex, because they are reimbursed outside the normal fee-for-service model. FQHCs often struggle with their billing requirements, and fail to receive their proper or timely share of reimbursement for services rendered.

Learn the nuts and bolts of FQHC certification and billing in this webinar from medical coding and billing consultant, LaTrece Freeman-Baker. Freeman-Baker will walk you through the important definitions and core requirements for certification. She will teach you who can bill in an FQHC, and explain which services apply or do not apply for reimbursement. You will understand common billing requirements, and learn how to avoid commonly missed billing opportunities. You will learn how to identify services that are covered for payment under the FQHC encounter based rate, and what services can be reported separately. Freeman-Baker will review reimbursement expectations, and provide valuable tips on how to ensure that all your services are billed properly.

After attending this webinar, you will be able to bill correctly for the services your FQHC provides, so that you receive your full share of reimbursement.

Session Highlights

Here's a sampling of what the webinar will cover:

  • Definition of a Federally Qualified Health Center (FQHC)
  • Core requirements for certification
  • Qualifying encounter
  • Who can bill in an FQHC
  • Which services apply/do not apply for reimbursement
  • Billing requirements for an FQHC
  • Commonly missed billing opportunities
  • Reimbursement expectations

Session Agenda

  • FQHC qualifying “encounter”
  • FQHC approved & non-approved settings
  • FQHC qualifying services and non-FQHC services
  • FQHC visícodes
  • Other billing considerations
  • Preventive services
  • Diabetes management and MNT
  • Telehealth services
  • Care management services
  • CCM documentation requirements
  • General behavioral health integration (BHI) services
  • ACP documentation requirements & CPT coding
  • Psychiatric collaborative care model (CoCM)
  • Billing & reimbursement expectations
  • Cost reporting

Who Should Attend

  • Medical billers
  • Medical coders
  • Office managers
  • Auditors
  • Physicians and other providers rendering services at an FQHC
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About Our Speaker

LaTrece Freeman-Baker

LaTrece Freeman-Baker, CPC, CPCO, CPMA, CPC-I, is the owner and Program Director of Physicians Choice of Certified Coders [PCOCC] Medical Billing and Coding service. As such, she oversees the billing, coding and compliance functions for physician services. LaTrece has had an extensive career managing the business side of medicine, spending over 20 years becoming an expert in medical coding and billing within many ambulatory settings,...   More Info
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